Organization
MAZZY DEVELOPMENT CENTER
Active
Other names
Mission Recovery Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. METRA AZAR-SALEM PSYD (OFFICER)
(949) 322-1202
Entity
Organization
Contact information
Practice address
23792 ROCKFIELD BLVD STE 230, LAKE FOREST, CA 92630-2872
(949) 322-1202
Mailing address
23791 ROCKFILED, #230, LAKE FOREST, CA 92630
(949) 322-1202
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/15/2024
Last updated
03/01/2025
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